MEASURING RECORDING VITAL SIGNS HEIGHT WEIGHT CHAPTER 17

MEASURING & RECORDING VITAL SIGNS HEIGHT & WEIGHT CHAPTER 17

TEMPERATURE ORAL: 97. 6 -99. 6 RECTAL: 98. 6 -100. 6 AXILLARY: 96. 6 -98. 6 TYMPANIC: 98. 6 TEMPORAL: 98. 6

PULSE NORMAL: 60 -100/ min. RADIAL-Felt at wrist APICAL- Listen at heart RATE: how fast RHYTHM: how regular AMPLITUDE: how strong PULSE DEFICIT: Radial is less than apical TACHYCARDIA- > 100 /min.

RESPIRATIONS Normal: 12 -20 /min. RESPIRATION: breathing in and out RATE-how fast RHYTHM-was it regular DEPTH-deep or shallow DYSPNEA-labored TACHYPNEA- > 24 MIN

BLOOD PRESSURE Normal Range: 90/60 -140/90 Measures blood pressure on arterial walls –B/P HYPERTENSION: High blood pressure can weaken the heart over time HYPOTENSION: Low blood pressure can cause dizziness when not enough blood gets to the brain ORTHOSTATIC HYPOTENSION-sudden drop in blood pressure when going from lying to standing SYSTOLIC- Pressure during hearts contraction Top number of B/P DIASTOLIC- Pressure in-between beats-bottom number

CNA STUDENTS IN WISCONSIN ARE NOT ALLOWED TO DO B/P SKILL DELEGATED TASK- Must be done under the supervision of a nurse. When you work, the facility is responsible to provide training on the skill YOU ARE RESPONSIBLE FOR ALL CONTENT ABOUT BLOOD PRESSURE IN YOUR TEXT BOOK

OBTAINING HEIGHT & WEIGHT: Important for diet and medication management Use appropriate scale depending on person’s ability Always “zero” scale Provide assist as needed Document & Report HEIGHT- If unable to stand, use tape measure while person is in bed